Pathology and Diagnostics news

  • Webinar: An Introduction to SNOMED CT for Pathology

    NHS Digital's Pathology and Diagnostics team are running a series of webinars to provide a basic understanding of SNOMED CT. The webinar illustrates how to use a browser to find terms as well as different ways of searching. 

    The main themes covered are:

    • What is SNOMED CT?
    • Why SNOMED CT?
    • SNOMED CT Content - Using Browser
    • Subsets (Refsets)
    • Useful information on SNOMED CT

    You can sign-up to one of our upcoming Webinars by clicking on one of the dates below.  Please note, there is a limit of 30 places available per webinar and registrations will be automatically approved.  Therefore, if you can no longer attend, please let us know so we can re-allocate your space.

    Note: Webinar registration requests will be automatically approved. You will receive an acceptance email which provides information on how to join the webinar so please keep this to hand or use the 'Add to Calendar' function.

    As this is an automated system, please ensure that your email address is entered correctly into the registration form.

    By Chris Hood 13 days ago

  • Pathology and Diagnostics education and training survey

    Recently we informed you that we had published an education & training page on our Pathology and Diagnostics collaborative workspace to provide you with materials to support you in your transition to SNOMED CT.

    There is already a wealth of useful resources and information on the webpage including: introductory guides, case studies, technical resources and animations which we encourage you to share with colleagues.

    As noted in the recent Pathology Informatics National User Group (PINUG) meeting, we are keen to gather feedback on your priorities for further training materials so that we can develop bespoke content that meets the needs of our stakeholders.

    With this in mind, we would like to invite you to participate in the following electronic survey:

    https://forms.office.com/Pages/ResponsePage.aspx?id=Hwf2UP67GkCIA2c3SOYp4krun3leOSRPr5MglvwCL9RURVI4VDUxNjhHTkUzVUVRU1FLTlgzQkFKOS4u

    Please note the survey will close on 30th November at 5pm

    By Chris Hood 2 weeks ago

  • NHS Digital: SNOMED CT Implementation Forum

    NHS Digital have recently had a number of requests to re-commence the implementation forum that addressed both SNOMED CT and dm+d.

    As our Pathology stakeholders we feel you might be interested in participating in some of these wider SNOMED CT implementation discussions.

    We plan to hold the sessions on the last Tuesday of every alternate month starting in November.

     The initial session will be a skype meeting and will take place 26th November at 11:00-13:00

     

    If you are interested in attending this session, Please email Pathologyanddiagnostics@nhs.net to receive a  calendar invitation for the event and instructions on how to join

     

    By Chris Hood 3 weeks ago

  • UTL v0.3.0 Released - October 2019

    As noted in our recent blog post, we have been refining our approach to developing the Unified Test List (UTL), and have been focussing on Improvements in the background to increase both the frequency and scale of releases.

    We are pleased to announce that the UTL v0.3.0 update has now been published both in human-readable form  on our Pathology collaborative workspace and as a Pathology and Laboratory Medicine SNOMED CT RF2 In Development extension module on TRUD  alongside the main UK SNOMED CT Edition.

    The UTL now includes over 1600 items, with more than 720 concepts added in this release with a particular emphasis on allergens.

    Feedback, comments and questions on the data format, content construction and coverage, and also on the content model are all welcome. We are keen to work with interested parties on improving the coverage and quality of the UTL.

    We have established a discussion forum with separate threads on the UTL page of the Pathology and Diagnostics collaboration site  to collect general feedback and questions on the UTL release as a whole.

    Feedback on specific items (concepts) in the human-readable review package for UTL is simple as there is a feedback link on each item in both the full view and the list of changes in the package that will pre-populate a feedback email with the concept ID information.

    Note: The Discussion forum requires users to register for an account with us in order to be able to contribute to the discussions .To do so, please email pathologyanddiagnostics@nhs.net with an access request.

    If you would like to send feedback to us directly without registering for the forum you can also contact us via our mailbox: pathologyanddiagnostics@nhs.net

    Kind regards

    National Pathology and Diagnostics

    By Chris Hood 3 weeks ago

  • Unified Test List version 0.2 released - October 2019

    In our June 2019 Newsletter we informed you that a human readable version of the Unified Test list (V 0.13) had been published on our Pathology and Diagnostics collaboration site.

    The UTL was also published as part of the biannual SNOMED CT release on TRUD as a technical refset artefact for download. (note: not available as a separate download). This was available to TRUD subscribers as part of the 1/6/2019 (27.0) biannual release.

    (Refset ID: 999004541000000101 UTL (Unified Test List) result observables simple reference set)

    Since this last update we have refined our approach to developing the UTL:

    Using the Trusts test lists that have been kindly provided, we have identified a pattern of information for blood sciences, aligned with information required for the Data Model and in this release cycle have been adding new content by category e.g. amino acids, sugars and ratios.

    We have also been focussing on other improvements in the background to increase the scale of output going forward

    We are pleased to announce that the human readable October 2019 release of the UTL is now available to view on the UTL page of our collaborative workspace here

    As mentioned  in our September newsletter we have also now published the UTL as a  Pathology and Laboratory Medicine SNOMED CT RF2 beta extension module on TRUD  

    alongside the main UK SNOMED CT Edition to enable access to the codes that you need and allow more frequent releases as required.

    Feedback, comments and questions on file format, actual content construction and coverage, and also on the content model are all most welcome and we will happily work with you on improving specific aspects of the product.

    We have established a discussion forum with separate threads on the UTL page of the Pathology and Diagnostics collaboration site  to collect general feedback and questions on the UTL release as a whole.

    Note: The Discussion forum requires users to register for an account with us in order to be able to contribute to the discussions .To do so, please email pathologyanddiagnostics@nhs.net with an access request.

    If you would like to send feedback to us directly without registering for the forum you can also contact us via our mailbox: pathologyanddiagnostics@nhs.net.

    In addition to the above we are also trialling a mechanism to allow users to easily send feedback or questions to us on a specific UTL concept, via a link on each item in the downloadable HTML-format review copy of the UTL. Please download the 0.2 review file from the Pathology and Diagnostics collaboration space and use the “feedback link” displayed against each line item in the HTML documents within the review package zip file.

    By Chris Hood 6 weeks ago

  • NHSX: giving patients and staff the technology they need

    In a recent blog article by NHSX CEO Matthew Gould, he noted that the organisation's number one priority is the need for interoperability.

    NHSX reviewed 30 different centrally ran digital transformation programmes in order to cut down on unnecessary duplication, incorporate new technology, move some programmes to live services and bring teams closer together.

    The review has resulted in 10 major transformation pieces of work. One of these programmes will focus on information standards (including medication standards) and one will focus on local capability (including LHCR, HSLI, GDEs and Carter money)

    By Chris Hood 2 months ago

  • National Pathology and Diagnostics September 2019 Newsletter

     

    Unified Test List (UTL) 

    Since the last update we have refined our approach to developing the UTL, using the Trusts test lists that have been kindly provided, we have identified a pattern of information for blood sciences, aligned with information required for the Data Model and in this release cycle have been adding new content by category e.g. amino acids, sugars and ratios.  

    We have also been focussing on other improvements in the background to increase the scale of output going forward.  

    In addition to the human-readable version being available in October, we plan to publish a Pathology specific SNOMED version on TRUD alongside the main UK SNOMED CT Edition to enable access to the codes that you need and allow more frequent releases as required. 

    We will provide further updates as these become available. Whilst it does not directly impact the UTL in development (if you are registered on TRUD, you will already have received the following update regarding the UK SNOMED CT Edition: 

     

    Alignment with the International Edition of SNOMED CT 

    The upcoming October integrated release of UK terminology for clinical and drugs (28.0.0), and all the four weekly drugs extension releases (28.x.0 series) through to March 2020, will remain aligned to the July 2018 release of the International Edition of SNOMED CT. We have taken this decision due to the volume of changes in the later International Editions which affect UK terminology content, particularly drugs, but do not have an immediate impact on the upcoming releases for dm+d. 

    Organisations that have a dependency on the UK Edition of SNOMED CT for their digital products should assess any likely impact, as unintended clinically significant behaviour may occur if systems use differing releases of SNOMED CT.  

    To aid your assessment, you can download the January and June 2019 International Editions of SNOMED CT from here

    We are working towards incorporating the January 2019 International Edition into the UK integrated release for April 2020 (29.0.0), including all derivatives such as the Query and History Substitutions Tables, Cross-maps to ICD/OPCS and Read/CTV3 Data Migration Tables. We will also explore the potential to uplift the April 2020 integrated release to align with the July 2019 International Edition. 

    Early in the new year we will confirm our position on the April 2020 integrated release, including a timetable for all UK terminology releases in 2020. 

    If you need any additional information please contact information.standards@nhs.net  

     

    Message Specification 

    As previously notified in the June 2019 newsletter, NHS Digital has worked with INTEROPen and range of stakeholders to develop a set of draft HL7 FHIR STU3 profiles to support the electronic exchange of pathology test results. Three new FHIR profiles were developed (DiagnosticReport, ProcedureRequest and Specimen) and the existing Observation profile was updated. These and the other CareConnect profiles can be found here:  

    https://fhir.hl7.org.uk/StructureDefinition 

    Based on stakeholder feedback, the following two elements in the ProcedureRequest profile have also now been made available for use: 

    • CareConnect-ProcedureRequest-1.priority - the urgency of the test request 
    • CareConnect-ProcedureRequest-1.authoredOn - the date and time of the test request 

    Further information can be found in the draft technical implementation guidance available here: 

    https://developer.nhs.uk/apis/itk3nationalpathology-1-0-0/index.html 

     

    Education & Training 

    Following your feedback and the resulting Terminology Migration workshop in February https://hscic.kahootz.com/connect.ti/PathologyandDiagnostics/view?objectID=14368080 

    We have recently published a section on Education & Training on our Pathology diagnostics collaborative workspace to signpost materials to support your transition to SNOMED CT https://hscic.kahootz.com/connect.ti/PathologyandDiagnostics/view?objectID=15848208 including information for your use; 

    • Introduction to SNOMED 
    • Guidance documents 
    • Case studies on how SNOMED works 
    • Technical resources 
    • Animations 

     

    We will be engaging with you shortly regarding your priorities regarding bespoke SNOMED in pathology training materials but if you have any feedback regarding this or any of our work please contact us at Pathologyanddiagnostics@nhs.net

     

    Related Stakeholder News 

    Again, you may already be aware that in June 2019, NHS England and NHS Improvement’s National Pathology Optimisation and Delivery board identified IT requirements for establishing and implementing the 29 Pathology Networks across England including the minimum set of standards to ensure interoperability as end to end systems are deployed.  

    They wrote to all Trust CEO’s and Financial Directors to provide guidance stating “it is therefore mandatory that all systems purchased and deployed into the NHS going forward meet the following standards for requesting, reporting and communicating diagnostic test results:  

    1) SNOMED CT (Systematized Nomenclature of Medicine -- Clinical Terms)  

    2) FHIR (Fast Healthcare Interoperability Resources) message standard.  

    3) Open access of systems - No restrictions on connections and interfacing between clinical systems”. 

    By Chris Hood 3 weeks ago

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